Asymptomatic – No treatment is necessary if the adhesions are asymptomatic as the adhesions may resolve when estrogen production increases at puberty.
Symptomatic – Labial adhesions should be treated if they are associated with recurrent infections or pain.
Initial treatment of symptomatic labial adhesions with topical medications (eg, estrogen, estradiol (0.01%) cream or betamethasone 0.05% cream) is desirable. It should be applied twice or thrice daily using a fingertip at the point of midline fusion where there is a thin white line.
Frequency of application is decreased once separation starts and is continued for few weeks. Once labia separate, an Emollient is applied 3-5 times daily for several months for a complete healing and to minimize the chances of recurrence.
If medical care does not help, a surgical separation should be considered by a Pediatric Surgeon/Urologist.
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